MemorialCare

Memorial Medical Center Foundation Logo

iGive - The Employee Giving Program

MemorialCare employees and physicians may use this form to place your order for a paver at the Cherese Mari Laulhere Children's Village.

More than one paver may be ordered. But, only one paver may be ordered per transaction.

For any questions, please contact:

Josué E. Hernández
Annual Giving Manager
Memorial Medical Center Foundation
(562) 933-1663
[email protected]

All donations are 100% tax deductible, including pavers. All donations will receive a tax receipt in the mail.

Paver information:

Select a paver (one paver per transaction; multiple pavers may be ordered by employee or physician):

All pavers have a limit of 23 characters per line. Characters include letters, spaces, and punctuation.

For uniformity the font size will be equal across all paver sizes.

It is best if the logos are provided as black and white vector artwork in EPS or AI formats. High resolution bitmap images in JPEG and TIFF is also acceptable.

Please email [email protected] your clipart image.

Line 1:

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Additional comments:

255 character limit

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Paver Prices

Contact information

Titles

First Name

Middle Initial

Last Name

Suffixes

Department, Medical Office, Hospital Volunteer, or Business Name:

Employee ID (if it applies):

Mobile Number

Address

City

State

Zip

Birthday (Optional) - We would like to celebrate your birthday by sending you a birthday card.

Payment information

This is a secure 256-bit SSL encrypted payment

Card Number

Expiration Date

CVV What is this?

I would like to cover the payment processing fee.

Donation amount

Contact Us

For more information or questions about iGive - the Employee Giving Program, please contact:

Josué E. Hernández
Annual Giving Manager
Memorial Medical Center Foundation
(562) 933-1663
[email protected]

MemorialCare Miller Children's & Women's Hospital Long Beach is a community-based, non-profit hospital. Contributions made to MemorialCare Miller Children's & Women's Hospital Long Beach Foundation are tax deductible to the fullest extent allowed by the law. IRC section 501(c)(3) Tax ID #95-6105984.